Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with a doctor.

Without the ability to examine and obtain a history, I can not tell you what the exact cause of the symptoms is. However I will try to provide you with some useful information.

Muscle spasms in the area of the spine, so-called paraspinal muscle spasms, result from various causes including poor posture, prolonged sitting or standing in the same position, excessive strenuous activity that imposes stresses on the back. Similar causes for shoulder blade pain. Treatment typically includes physical therapy, stretching, massage, and anti-inflammatories as prescribed by a physician. This is not an uncommon problem and does not necessarily require a specialist, discussion of your symptoms with an internist/family doctor is recommended, and if he/she feels that a specialist is required referral can be made.

Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.

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